Pediatric Radiology

, 39:955 | Cite as

Sonographic features of neonatal mastitis and breast abscess

  • Heather Borders
  • George Mychaliska
  • K. Stiennon Gebarski
Original Article

Abstract

Background

Neonatal mastitis and neonatal breast abscess are uncommon. Although well described in the pediatric and surgical literature, there is a paucity of reports describing their sonographic features.

Objective

To describe and illustrate the sonographic features of neonatal mastitis and neonatal breast abscess.

Materials and methods

We reviewed the medical database of a large children’s health-care center from 2000 through 2008 for patients presenting in the first 8 weeks of life with mastitis. The findings were correlated with clinical presentation and course, laboratory findings and clinical outcome.

Results

Four neonates (three girls and one boy) presented with mastitis. They all had prominent breast buds on the affected side with poorly defined margins, slightly more echogenic focally or diffusely compared to normal with hyperemia on color flow Doppler US. The surrounding subcutaneous tissue was thick and echogenic. Two abscesses presented as avascular areas without color flow on Doppler US, subtly increased through-transmission and surrounding hyperemia. One abscess was of increased echogenicity while the other was anechoic.

Conclusion

Neonatal mastitis and breast abscess are unusual diseases that should be appropriately treated with antibiotics and drainage to avoid generalized sepsis, breast hypoplasia, and scarring. US is useful in distinguishing mastitis from breast abscess and guiding treatment options.

Keywords

Neonatal Mastitis Breast abscess US 

References

  1. 1.
    Kläber HG, Wieczorek D, Handrick W (2005) Neonatal mastitis in a 4-week-old infant. Klin Padiatr 217:240–243PubMedCrossRefGoogle Scholar
  2. 2.
    García CJ, Espinoza A, Dinamarca V et al (2000) Breast US in children and adolescents. Radiographics 20:1605–1612PubMedGoogle Scholar
  3. 3.
    Ibanez L, Herrero CG, Alonso RC et al (2008) Lumps in the breast of children and adolescents. Education Exhibit LL-BR2649. Breast/mammography. Radiological Society of North America 94th Scientific Assembly and Annual Meeting, 30 November to 5 December 2008, Chicago, p 759Google Scholar
  4. 4.
    Walsh M, McIntosh K (1986) Neonatal mastitis. Clin Pediatr (Phila) 25:395–399CrossRefGoogle Scholar
  5. 5.
    Rudoy RC, Nelson JD (1975) Breast abscess during the neonatal period. A review. Am J Dis Child 129:1031–1034PubMedGoogle Scholar
  6. 6.
    Efrat M, Mogilner JG, Iujtman M et al (1995) Neonatal mastitis – diagnosis and treatment. Isr J Med Sci 31:558–560PubMedGoogle Scholar
  7. 7.
    Bodemer C, Panhans A, Chretien-Marquet B et al (1997) Staphylococcal necrotizing fasciitis in the mammary region in childhood: a report of five cases. J Pediatr 131:466–469PubMedCrossRefGoogle Scholar
  8. 8.
    Mahapatra AK, Pawar SJ, Sharma RR et al (2001) Brain abscess due to Staphylococcus aureus following neonatal breast abscess: case report and a brief review of the literature. Ann Saudi Med 21:80–83PubMedGoogle Scholar
  9. 9.
    Manzar S (2001) Brain abscess following mastitis in a 3-month-old infant. J Trop Pediatr 47:248–249PubMedCrossRefGoogle Scholar
  10. 10.
    Welch ST, Babcock DS, Ballard ET (2004) Sonography of pediatric male breast masses: gynecomastia and beyond. Pediatr Radiol 34:952–957PubMedCrossRefGoogle Scholar
  11. 11.
    Brook I (1991) The aerobic and anaerobic microbiology of neonatal breast abscess. Pediatr Infect Dis J 10:785–786PubMedCrossRefGoogle Scholar
  12. 12.
    Dollberg S, Hurvitz H, Klar A et al (1988) Group D streptococcal neonatal mastitis. Pediatr Infect Dis J 7:362PubMedCrossRefGoogle Scholar
  13. 13.
    Stauffer WM, Kamat D (2003) Neonatal mastitis. Pediatr Emerg Care 19:165–166PubMedGoogle Scholar

Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Heather Borders
    • 1
  • George Mychaliska
    • 2
  • K. Stiennon Gebarski
    • 1
  1. 1.Section of Pediatric RadiologyUniversity of MichiganAnn ArborUSA
  2. 2.Section of Pediatric SurgeryUniversity of MichiganAnn ArborUSA

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